What is a Worker's Report of Injury/Disease (Form 6)?

Often called just the Form 6, this is a WSIB form that the worker completes and sends to the WSIB after a work-related injury or illness. It is a way for you to tell us the details of what happened to cause the injury or illness. It also provides us with information we need to make decisions about and process your claim. This form is different from the one you may have filled out at work for your employer.

When you complete and submit the Form 6, it tells us that you are claiming for benefits for a work-related accident.

There is a time limit for you to report. It is important to claim benefits as soon as possible. You have six months from the date of the accident to claim benefits or, for occupational diseases, from the time you learn of the disease.

How do I file a claim for benefits?

To file a claim for benefits you must:

1. Report your injury or illness to the WSIB

You should complete, sign and return Form 6 (337k, pdf) as soon as possible following a work related injury/awareness of illness. It's best to complete this form soon after the accident or awareness of illness, while all the details are still fresh in your memory.

There is a deadline. A claim must be filed within six months of an accident or, in the case of an occupational disease, within six months of a worker learning of the disease. The claim may be filed after six months, if the worker can show "exceptional circumstances" existed at the time of the deadline. For further information, call 1-800-387-0750.

Your functional abilities information is non-medical information from the health care professional treating you. It tells you and your employer what kinds of work activities your illness or injury permits. Without this consent, you cannot claim benefits.

What are my reporting obligations?

You must notify the WSIB, within 10 calendar days, of any significant change in the status of your claim and eligibility for workplace disability insurance benefits (known as material change). Failing to report a significant change could result in reduction or suspension of your WSIB benefits.

Significant changes include:

returning to work

beginning to receive other income or government benefits

significant changes in your medical condition.

What happens if I accidentally get stuck with a used needle?

Accidents with used needles can expose you to infectious disease. We treat these accidents like other possible exposures to infectious disease in your workplace. Your employer must report these incidents to the WSIB unless there is a surveillance protocol in place.

A surveillance protocol is a formal procedure a health care practitioner follows to test and monitor a person exposed to an infectious disease to see if the person develops that disease.

If there is a surveillance protocol, your employer must report the incident if you test positive or need any treatment relating to the incident.

Language translation limitations and disclaimer

Translation tool limitations and disclaimer

As part of our efforts to make our website more accessible, we are providing a free, third-party automatic translator should you want to view the website in a language other than English or French. This translation tool is called Google Translate and it is powered by Google. Google Translate works without the intervention of human translators, using state-of-the-art technology.

How does it work?

Google Translate provides instant translations between many different languages. It can translate words, sentences, and web pages between any combination of their supported languages. When Google Translate generates a translation, it looks for patterns in hundreds of millions of documents to help decide on the best translation. By detecting patterns in documents that have already been translated by human translators, Google Translate can make intelligent guesses as to what an appropriate translation should be.

Disclaimer and warning

Our website is intended to be read in English and French. Google Translate is only provided as a convenience to you on an as-is, as-available, basis. Since the translations using Google Translate are computer-generated, not all translations will be accurate. It is your responsibility to ensure the accuracy of any translations and you are advised to use an experienced human English or French translator to provide you with a precise and accurate translation into your native language.

You assume all risk, liability, and responsibility relating to your use of Google Translate and any translation generated by it. While reasonable efforts are made to provide a translation, no liability and no responsibility are assumed by WSIB or Google for any errors, omissions, or ambiguities in Google Translate or the translations or other information provided by the free translation of this website. In no event are WSIB or Google liable for any loss or damage, or harm arising out of your use of the free translation of the website or the content thereof, including direct, indirect, incidental, consequential or punitive damages.

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